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NPI Code Detail

MEDICARE: MILLENIUM CLINIC, INC

MEDICARE: MILLENIUM CLINIC, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710303896
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLENIUM CLINIC, INC
Provider Business Mailing Address
First Line : 1152 N UNIVERSITY DR
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-5000
Country : US
Telephone Number : 954-639-7345
Fax Number : 954-639-7433
Provider Business Practice Location Address
First Line : 1152 N UNIVERSITY DR
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-5000
Country : US
Telephone Number : 954-639-7345
Fax Number : 954-639-7433
Authorized Official
Title or Position : AO/CEO
Name : PATRICIA S BATCHELDER
Credential :
Telephone Number : 786-487-0433
Provider Enumeration Date : 03/12/2014
Last Update Date : 12/22/2023

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Practice Location Address:
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PEMBROKE PINES, FL
33024-5000
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Practice Fax: 954-639-7433

Directions to “MILLENIUM CLINIC, INC ” Practice Location

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